Individual
JESSE STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-4380
Mailing address
3225 BELLFLOWER ST, KETTERING, OH 45409-1211
(937) 304-5336
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.18038-NA
OH
Other
Enumeration date
08/25/2015
Last updated
12/21/2019
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